EZDI Alternatives

NextGen Healthcare provides ambulatory practices of all sizes award-winning solutions along with dedicated support and professional services. We align with your goals to achieve the success that results in healthier patients and happier providers. NextGen® Enterprise EHR offers your practice configurable clinical content, intuitive workflows, and an integrated patient experience platform that incorporates telehealth. With NextGen® Mobile, your providers’ smartphones become an extension of your EHR, which saves valuable time. Managed cloud hosting keeps your practice secure and makes upgrades easy, though on-premise options are also available. NextGen® Office is a cloud-based EHR designed to support your practice growth, save staff time, and increase patient volume. This fully integrated clinical and billing platform features specialty-specific EHR content, mobile accessibility, a revenue cycle management system, and a convenient patient portal.

Mercury One Plus is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from standard billing to intermediate billing. Mercury One Plus is offered exclusively on the cloud, with the highest level of security- you can access your data anywhere 24/7. A complete product with big functionality, Mercury One Plus includes: patient demographics input, 100 plus reports to choose from, charge entry, full history of patient activity, ERA posting, credit card acceptance, and much more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury One Plus's automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports;HL7. All subscriptions come with the expert help of CrisSoft Support. Willing to partner/intergrate with all EMR's through REST.

XpertCoding is an AI-powered medical coding software by XpertDox that uses advanced AI, natural language processing (NLP), and machine learning to code medical claims automatically within 24 hours. It automates the coding process, enabling faster and more accurate claims submissions to maximize financial gains for healthcare organizations. Features include minimal human supervision, easy EHR connectivity, flexible cost structure, a significant reduction in denials and coding costs, a HIPAA-compliant business intelligence platform, risk-free implementation with no initial fee and a free first month, and higher coding accuracy. XpertCoding's autonomous coding solution helps healthcare providers and organizations get paid faster, accelerating the revenue cycle and allowing them to focus on patient care. Opt for XpertCoding for a reliable and accurate medical coding software solution for your practice.

MedEvolve Practice Management (PM) software provides unmatched transparency, automation and accountability for the healthcare revenue cycle. Built in automation and advanced analytics solutions reduce administrative burden and ensure staff are not only productive, but effective in the work effort they put in and that they are achieving the expected results. Additionally, MedEvolve’s effective intelligence solutions enable a remote workforce with task management, tracking and virtual communication tools that integrate directly with the practice management software. Increase margin, improve net collection rate and reduce overhead costs with effective intelligence. MedEvolve PM integrates with over 40 different EHR systems. We believe physician practices should be able to choose the best EHR for their clinicians, and the best practice management software for their administrative and billing staff.

At Modernizing Medicine® we empower our customers with an integrated suite of software and services that enable physicians and staff to do their best work while we support the clinical, operational, and financial aspects of their practice. Our flagship product EMA®, a cloud-based electronic health records system, adapts to each doctor’s style of practice, remembering preferences and automatically suggesting exam notes and suggested billing codes. When used on a tablet, EMA offers special touch and swipe gestures to rapidly build patient profiles, diagnoses, treatment programs and billing. EMA works seamlessly with our other products and services including Practice Management, Revenue Cycle Management, Telehealth, Inventory Management, patient engagement tools including payments and more. When combined, this all-in-one solution breaks down departmental silos and enables the team to work side-by-side, enhancing visibility and collaboration. By Doctors for Doctors

Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need. Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits. Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and RAPS/EDPS Submissions), HEDIS® and Stars Quality Program Management, Clinical Data Exchange, Eligibility and Enrollment, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health.

The single solution for your medical practice. Cloud based online electronic health records (EHR) systems that allows you to create, manage patient records easily and securely using just your browser. Create and manage patient appointments and schedule resources like rooms, IV chairs, etc. using color coded calendar. Allow patients to book appointments from your website and patient portal. Upload and store your patient and practice documents like handouts, consent forms, x-rays, etc. and go paperless. Group documents into folders and tag them to locate it easily, when you need them. Exchange messages with your care team securely regarding your treatment. Patients will have portability available for their medical records. They can allow secure access to a local specialist during their physical consultation abroad. Complicated caess can be discussed while sharing images/videos without pulling doctors from wards and clinics.

AGS Health's Computer-Assisted Coding (CAC) software helps hospitals and physicians simplify the ICD-10, CPT, HCPCS, and E/M coding process; increases your coder productivity while cutting denials, missed charges, and low-risk scores. Computer-Assisted Coding also known as medical coding software helps to boost productivity and make critical decisions faster while reducing denials, missed charges, and low-risk scores. The AGS Computer-Assisted Coding (CAC) module enables flexible and scalable coding of professional and facility operations to increase accuracy, productivity, and flexibility. Features:- - NLP-Based ICD-10-CM, PCS, CPT, and E&M Code Automation: Leverages NLP to automatically suggest billable codes from different types of clinical documents. - One-Click Coder Validation & Acceptance: Automatically identify charts that have potential queries for seamless validation and acceptance. - Always Up to Date: Our Clinical NLP engine is always learning and improving base.

Value driven care depends on real-time, accurate and reliable data. Leverage the Minerva Healthcare Data Platform to bring together clinical and claims data from disparate systems into a unified FHIR® repository. Natively based on FHIR® and vendor-neutral, Minerva aggregates data across your care delivery network – from multiple systems and formats to power your data exchange, accelerate data analytics and meet Cures Act regulations. Minerva brings ready-to-use data connectors to rapidly ingest data from disparate clinical and claims sources. Leverage available healthcare standards and custom data formats to bring in data in real-time or in batches. Integrate data from your clinical network and your payers to build a unified view of your patient’s data.

We help providers integrate disparate patient data to deliver actionable insights at the point of care, collaborate across care teams, and achieve better health outcomes. We help drive collaboration and connectivity among payers, providers, and members to manage risk, costs, compliance, and rising member expectations. We help biopharma and medtech companies build digital solutions at their intersection with healthcare and better leverage real-world data across the value chain. Unify patient data, generate comprehensive clinical and financial insights, and innovate faster. Move beyond silos to an open, secure platform that unifies healthcare data into a single, longitudinal patient record that enables whole-person care. Rapidly develop interoperable solutions and accelerate digital strategies through our developer tool suite and open APIs. Customizable analytics and advanced insights help enhance care quality, reduce costs, and improve clinical and financial outcomes for providers.

Next-generation medical coding & auditing with AI. Streamline your manual inpatient coding and auditing processes, improve coding and documentation quality, and unlock your team to focus on high-value work. Semantic Health drives improvement at leading hospitals. Semantic Health uses custom clinical AI and NLP algorithms, trained on millions of records by our world-class AI team, to parse through clinical and coded data which allows our coding and auditing engines to better understand nuanced clinical context, incorporate changing coding guidelines and rules, and suggest high-quality coding and auditing opportunities with clear evidence back to the clinical documentation. Save time and optimize your revenue cycle by adding AI to labor-intensive medical coding and auditing processes. Semantic Health offers hospitals and health systems a supercharged inpatient auditing platform for a 100% pre-bill review of claims data.

Whether you're looking to outsource all of your revenue cycle management functions or just some of them, Precision Practice Management has the experience and expertise to help you stay on top of the constantly changing landscape in this most important area. Precision can successfully address all areas of revenue cycle management, from compliance, credentialing, coding, claims processing, clearinghouse edits and electronic lockbox to claim denial management, reporting, financial analyses and more. Your in-house staff may be doing a tremendous job in managing some or most aspects of your medical billing, but your office staff has many other important clinical functions to perform. Sometimes billing matters receive lower priority and suffer as a result. Precision's medical billing experts are focused entirely on medical billing and nothing else; that's all they do.

Benchmark PM enhances patient engagement from initial intake through final encounter with features such as patient onboarding, easy appointment scheduling, customizable reminders, robust reporting, and user-friendly dashboards. For billing, Benchmark PM simplifies filing, processing, and follow-up with integrated claims management, an integrated clearinghouse, electronic billing, insurance verification, and a versatile payment portal. Benchmark Solutions operates as healthcare practices’ one-stop management solution, comprising of Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. Benchmark Solutions' offerings come together to form a comprehensive electronic toolset that can streamline daily internal operations and increase revenue earned all while improving the overall patient experience. Each piece of the Benchmark Solutions suite is modular so it can easily integrate with other technologies already in place.

Physicians didn’t go to medical school to learn how to code. We are reimagining the future of the revenue cycle with AI-powered autonomous coding. The company’s platform is in use at more than a dozen premier provider organizations and health systems, representing over 200 hospitals, and 50K providers. CodaMetrix’s platform is a multi-specialty coding AI platform that translates clinical information into accurate sets of medical codes for patient care and revenue cycle processes, from fee-for-service to value-based care models. The automation is touchless, transparent, and completely traceable. CodaMetrix's cutting-edge, multi-specialty autonomous medical coding platform leverages AI to continuously learn from and act upon the clinical evidence in the EHR. We autonomously translate clinical notes into billing codes that satisfy coding requirements, ensuring claims consistently represent the unique and complete episode of care, reducing human coding workload.

Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform. Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts. Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution. More than 100 healthcare data sets, with professional support to optimize efficiency and compliance. Advanced medical coding software designed to expedite claim submission and minimize denials. Our cloud based Payment Integrity Platform utilizes our proprietary analytics engine to identify coding errors, medical necessity, unbundling, fraud-waste-abuse, audit risks, pricing and other aberrations that can impact your business.

Grow your practice with the number one cloud-based EHR and practice management software, CareCloud. CareCloud offers a complete suite of tools for healthcare professionals and providers of all sizes and practices. These include Concierge, a comprehensive revenue cycle management solution; Central, a user-friendly practice management tool; Charts, an easy-to-use electronic health records solution; Community, patient engagement and social tools; and Companion, a clinical and administrative mobile app.

Conducting thorough checks on the financial eligibility of the patients, running their insurance’s analysis and monitoring discrepancies, the eligibility checker covers all. If however any error does creeps in the data submitted, our scrubber working on deep AI&ML algorithms is capable of scrubbing errors be it coding errors, incomplete or wrong patient financial information. The software, at present, has 3.5 Million edits pre-loaded in its memory. To further streamline the process, automatic updates are issued by the clearing house to inform about the status of in-process claims. Covering the entire billing spectrum from verifying the patient financials to working on denied or lost claims and also has a through follow-up feature for appeals. Our intuitive systems warns if a claim could be denied, taking corrective actions to prevent it but also is capable of tracking and appealing for lost or denied claims.

Transform your revenue cycle with Clarus RCM. Clarus RCM specializes in risk adjustment coding solutions namely retrospective & prospective HCC coding, commercial risk adjustment coding, HEDIS abstraction, RADV audits, chart review & data validation, and revenue cycle management services. Our certified coders guarantee 95%+ accuracy & faster turn around time. Clarus RCM Inc provides comprehensive revenue cycle management (RCM) services through a robust, innovative technology suite. By integrating RCM services with healthcare consulting services, Clarus RCM can help hospitals and physicians increase their existing revenue stream, uncover new payment opportunities and elevate RCM performance. Clarus is certified with ISO/IEC 27001:2013 industry laurels. Our operations are 100% HIPAA and ISMS (information security management system) compliant. We have been assessed by UL-DQS (American accreditation) to deliver the highest quality of healthcare services.

Increase your practice revenue while improving the patient experience. We strive to provide superior long term partnerships with the practices we serve. Allowing providers to concentrate on patient care is our number on priority. We focus on administrative tasks so providers can focus on patient care. ECFS' history is rooted in our mission to serve providers and patients alike. ECFS is committed to building a solution that works for your practice and your patients. We can help your practice improve its efficiency and help you and your staff concentrate on what matters most, patient care. Our mission is to provide a better billing and electronic health records solution. Learn how a partnership with ECFS Billing can help improve your practice. Our comprehensive billing solution helps your practice increase revenue. Most claims are ready to pay within 48 hours. Track claims and payments with our state of the art clearinghouse.

MDofficeManager is a leading provider of revenue cycle management, medical coding, credentialing, A/R management, ambulatory care, electronic health record (EHR) and practice management software, medical, business and legal transcription services, to acute, non-acute facilities, outpatient surgery centers, ambulatory care practices, LTC facilities including SNF, NF, & ALF of all sizes across the US. Our products and services streamline administrative and clinical processes via Cloud-Based or Server Based solutions. They promote efficiency and reduce cost by facilitating information exchange and seamless communications between healthcare participants. This enables more informed decision making with increased efficiency, and ultimately, higher quality patient care at a lower cost. MDofficeManager’s Documentation Management reduces costs while delivering effective, timely solutions to optimize your operations.

All organizations across the healthcare revenue cycle sector can utilize Remittance360. If an entity receives standard 835, business office staff of all levels will find this tool useful in making actionable decisions regarding cash and accounts receivable workflow. Remittance360 is simple and easy to use, start-up time is minimal, and the uploading process of 835 data takes seconds. Utilizing the standard 835 data set, information upload is obtainable for all organizations, with minimal IT involvement. Remittance360 takes advantage of the data organizations have, but delivers relevant reporting of denials, trends, and individual payer activities. Gaining insights into this information can determine specific workflow needs. The ability to query data is simple in Remittance360, and common queries can be saved for easy user functionality. Querying denials by remark code and by department can assist in identifying and fixing root cause issues.

Whether you are a single outpatient wound care center or a multi-facility organization, edgeMED’s expert revenue cycle management service and integrated clinical, financial, and regulatory tools enhance performance and patient care. Get ready to boost quality and outcomes. Our expert revenue cycle management service governs the entire revenue cycle process so wound care specialists can enjoy higher, and more timely, reimbursement. Coupled with our healthcare software, you can operate a competitive, quality-centered practice and be confident in the documentation for MIPS and other value-based payment programs. In addition to our extensive medical billing experience in the wound care specialty, we incorporate telehealth into your workflow with secure, remote communications with patients. Wound care providers can easily conduct virtual visits, and online messaging and give patients access to their health record information.

MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are.

Medisolv provides comprehensive quality management solutions for hospitals and clinicians. ENCOR, our award-winning software platform, is a complete quality solution. Medisolv is a healthcare quality data management company. Their all-in-one Quality management software provides tools that help healthcare organizations with core measure abstraction, electronic measure capture in the hospital and ambulatory settings, data aggregation from multiple sources and submission to various reporting entities including CMS, TJC, other payers, state entities and reporting organizations such as ACOs. Medisolv’s acclaimed quality management software, ENCOR, provides timely eCQM performance data to assist hospitals in improving their performance and easily submitting to regulatory programs. ENCOR, makes chart abstraction easier with daily updated data and pre-populated patient information. Our software is designed to assist hospitals in successfully meeting their reporting requirements.

Acusis’ approach to Revenue Cycle Management (RCM) is full circle that provides finest experience to their clients. Acusis has a tenured team consisting of proven RCM experts and consultants on billing, coding, CDI, risk adjustment, HCC, account receivables and denials management. Clinical documentation management is simple and cost-effective with Acusis’ unique approach of combining cutting-edge technology and professional documentation services. While eCareNotes speech recognition platform helps Physicians save time and focus on delivering care, Acusis professional services team focuses on making life easy for HIM by offering superior editing services. From dictation capture to cutting-edge voice recognition, Acusis offers a wide array of cloud-based products for simplifying MTSO transcription workflow management. eCareNotes, the flagship technology platform helps MTSOs as well as in-house transcription teams of hospitals to reduce documentation costs and stay compliant.

Select Data is the first to leverage the power of AI to transform home health coding and documentation to optimize clinical quality and financial outcomes with its platform, SmartCareTM. Combining industry-leading NLP and AI with a commitment to CDI excellence, Select Data delivers more precise coding, accurate reimbursement, and actionable feedback to home health agencies. Achieve accurate reimbursement and lower risk of audit with professional onshore coding. Powered by advanced technology, Select Data’s SmartCare™ platform enables its expert team of coders to deliver high quality coding with a quick turnaround. Our experts use SmartCare’s clinical algorithms to identify corrections and areas likely to have documentation deficiencies. Select Data improves accuracy in OASIS assessments and coding, leading to better patient care and success with PDGM.

Leveraging this new suite of integrated products, practices, clinics, healthcare organizations of all sizes can now holistically address security risk management and HIPAA compliance across the continuum of their health system or network. Pairing HIPAA One’s automated Security Risk Assessment software platform with Intraprise Health’s existing cybersecurity capabilities offers our customers a complete security and compliance solution, increasing our commitment to securing our customer’s data. To learn more about our full suite of software and services, visit our new home on Intraprise Health. Make us part of your team to stay up-to-date, automate compliance and most importantly, protect your client's information. Completely healthcare-focused, we provide cybersecurity advisory services and cloud-based software solutions to meet the pressing information security needs you face now and will face in the future.

Carepatron is a community-driven therapy scheduling platform for medical providers and their clients. They believe that healthcare teams play a critical role in our communities but often don't have access to the scheduling tools they need to deliver more collaborative and better mental health outcomes. Instead, they often rely on low-quality scheduling tools, manual processes, and legacy software to get by. Carepatron believes that the best way to better health is by bringing practitioners and clients together in one collaborative therapy platform. Carepatron features a free basic option, while the professional plan costs $12/month. An organizational account is also available. Key features: Online scheduling Calendar sync Recurring appointments SMS and Email reminders Website and Facebook calendar integration Fully integrated telehealth tool Health records, clinical notes, and documentation Payment processing HIPAA certified

Easy Coder includes efficient procedure and diagnosis code search, encounter editing, and compliance tools all in one easy-to-use program. The solution leverages its web-based platform to provide real-time updates to content, rule changes, and policies, with no need to install the software. Verifies medical necessity. Saves coding time. Combines all aspects of coding. Allows for corrections early in the revenue cycle workflow. For almost 15 years, our medical billing service has been a daily user of Alpha II’s EasyCoder. It has proved to be an invaluable tool, providing my staff with quick access to current, comprehensive, and reliable coding resources. The E&M Generate, the policy reviewer, supporting diagnoses lists, and access to the Medicare fee schedules by locality have developed our staff’s knowledge and confidence as we strive to serve our clients as a trusted resource.

Maximize your appointment calendar with improved visibility into your clinic's schedule and provider availability. View and schedule appointments across many providers, rooms or locations to ensure a steady patient flow. Automatically invite patients to complete patient intake online. Custom digital paperwork can be completed and submitted using a smartphone or personal device. The patient's data will sync directly to their patient chart. Reduce no-shows with perfectly timed patient reminders via email and text message. Patients and staff can communicate, confirm or reschedule with two-way text messaging. Easily generate claims from patient notes and suggested ICD-10 codes. Automatically scrub and submit claims electronically. Services to manage your entire billing process, from submission to payment collection. Quickly create defensible, legible, and comprehensive clinical notes with documentation templates, assessment reports and pre-populated patient data.

PatientKeeper Charge Capture increases practice revenue and cash flow through more efficient physician charge capture and smarter coding. By ridding your billing process of paper-based charges, PatientKeeper Charge Capture ensures that every charge gets submitted in a timely fashion – directly impacting your practice’s revenue. No more manually reconciling multiple patient lists with charge tickets. And PatientKeeper Charge Capture dramatically reduces the need for billing staff to consult clinicians about charges submitted days or weeks earlier. With ready access to clinical notes and communication tools, staff can easily resolve issues without the need to interrupt physicians or delay the submission.

PulsePro practice management system applies automated workflow logic to join financial, clinical and administrative processes into one package. PulsePro is easy to use and implement, offering advanced scheduling, patient registration, medical billing, coding and claims processing. And because implementation is quick and PulsePro is so easy to learn, your team will be up and running in hours — not days or weeks — performing daily tasks using an industry leading practice management system. Pulse is a leading EHR/PM Company that is a part of the Amazing Charts and Harris Healthcare family. We have a long history supporting medical practices with technology and value-added services.

Clinical Info Solutions’ medical billing services are a complete, one-stop, full-service medical billing solutions. We are one of the top medical billing companies in the USA, offering medical billing, coding, revenue cycle management solutions and medical credentialing. Clinical Info Solutions is here to maximize your collections as much as possible while simultaneously eliminating your financial and human resources headaches, so you and your staff can focus on delivering unsurpassed patient care. We offer innovative medical billing services which are far more efficient and cost-effective than what is standard in the medical billing industry. We can logon to the client’s server remotely and utilize your software to conduct all medical billing operations. In this model, all the data and documents reside on the client’s server, which gives the client complete control of the billing operation.

iVECoder, the decisive code tool with payor intellect, was built on the same intelligence of PCG's Virtual Examiner® claims review engine that healthcare payors worldwide have been using for 25 years. Users can enter multiple codes, and in just a single click, receive multiple answers on a single page. Ramp up coding accuracy and boost your bottom line by using the same billing and coding intelligence platform the payors use. iVECoder is PCG's Virtual Examiner® (VE) claims review engine. This advanced rules based engine —with 45 million edits— is used by healthcare payors throughout the USA and abroad. VE tells payors what to deny or pend for review.

Patient medical record retrieval is just a search away. The PRISMA health information search engine is here to bring together medical records from primary care providers, specialists, clinics, urgent care centers, and hospitals to create a searchable, timeline view of a patient’s health history. Our Customer Success Stories illustrate real-world applications of our healthcare IT. See how eClinicalWorks customers are achieving value-based care and improving healthcare. At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon our EHR software for comprehensive clinical documentation, along with solutions for telehealth, Population Health, Patient Engagement, and Revenue Cycle Management. Privately held, and driven by innovation and excellence, we have a single focus — providing our customers with secure, cloud-based solutions.

Talos offers an AI-powered platform that streamlines image processing, PDF reading, and medical coding. Users can effortlessly upload documents and images, and Talos automates the entire process, delivering precise and efficient results. Save time and boost productivity with Talos' comprehensive AI solutions. Image Enhancer: AI tool that enhances image clarity, color, and resolution for professional results. 360 Image Segmentation: Advanced tool for segmenting images into 360-degree views for interactive analysis. Watermark Decode: Tool for decoding and managing watermarks while preserving image integrity. PDF Reading & Data Processing: Automates data extraction and processing from PDFs for efficient handling. Medical Coding Automation: AI solution for automating medical data coding with precision and speed.

AGS AI Platform is an end-to-end Revenue cycle management platform that provides a full suite of revenue cycle solutions that can be configured to meet the unique needs of any healthcare organization. AGS AI Platform is designed to improve healthcare systems' revenue cycle performance by automating repetitive tasks, simplifying coding, improving documentation, and optimizing billing practices to prevent denials and improve revenue flow. It provides a connected solution that blends artificial intelligence and automation with award-winning human-in-the-loop services and expert support to maximize the performance of the healthcare revenue cycle. The platform allows healthcare organizations to gain enhanced visibility into day-to-day operations and the overall performance of the revenue cycle, including intelligent worklists, productivity reports, customizable dashboards, root cause analyses, and executive reporting.

Use the EMR built for urgent care. Simplified charting and easy-to-use templates drive quick, accurate documentation, streamlined workflow, seamless integration, and a better experience for patients (and everyone on your staff). Get the urgent care EMR software that provides the tools you need to navigate center visits efficiently. With an intuitive interface and documentation templates made for urgent care, clinicians can chart an urgent care visit with confidence. With fast registration, real-time insurance verification, integrated EMR/PM database, and workflow-driven scheduling queues, patients go from the front desk to discharge as quickly as possible, boosting satisfaction. Precise CPT autocoding and smart E/M code suggestions ensure full documentation of each visit and more accurate claims. With a library of relevant standard reports to inform decision-making, it’s easy to monitor and improve your clinic performance.

Leverage automation and intelligence to overcome patient access and revenue cycle challenges and increase reimbursements for patient care delivered. Despite the progress AI and automation is making in automating patient access and revenue cycle processes, there still remains a need for staff with RCM, clinical and compliance expertise to ensure patients seen were financially cleared and services rendered are accurately billed and reimbursed. We provide our clients with complete technology plus team coverage with deep knowledge of the complicated reimbursement landscape. Our technology and team learn from billions of transactions processed for leading healthcare providers and 1400 payers across the United States. Get quicker financial clearance for patients before care with our patient access plus a platform that provides complete coverage for obtaining eligibility verifications, benefit checks, patient pay estimates, and prior authorization approvals, all in one system.

Whether it’s understanding the nuances of the CMS and ONC final rules, developing a roadmap to meet the deadlines, or implementing a solution, we’ve got you covered. As the leader in interoperability, Edifecs has the expertise to help you achieve compliance with the new mandates and unleash the power of secure, reliable electronic health data exchange. Edifecs offers best-in-class Smart Trading and Encounter Management tailored specifically for small and medium-size health plans. Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation. Streamline encounter management operations and improve first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model. Edifecs offers COTS-based modular solutions to maximize data quality and drive payment reform initiatives. Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation.

Clinics of All Sizes & Specialties: Focus on your patients and let PertexaIQ™ take care of the rest. For primary care as well as specialty and sub-specialty practices, such as neurology, OB-GYN, pediatrics, dermatology, podiatry, endocrinology and behavioral health. Ease, speed and accuracy dramatically improve value while increasing volume (and revenue). Hospitalist, Nurse & Related Groups: Our platform-agnostic app is interoperable, so it can pull in and push out data between your device and your client's EHR. This means your documentation gets done in real time with each patient you see, anywhere you see them (remote; at nursing home, rehab or other facility; in home). Administrators & Advisors (ACOs, PSOs, IPAs): Treat more, bill more, get paid faster while reducing staff and outsourcing costs. Auto-accurate coding = near 100% claims approvals at first pass; instant auto-auditable RAC level & auto-compliance.

It’s fair to say that “not all DRG vendors are created equal.” Despite overlapping marketing efforts, there are two general categories of DRG auditing products: those that primarily serve provider hospitals and those that are designed to identify overpayments on behalf of health plans and payers. Just as an attorney typically specializes in defense or plaintiff representation, auditing vendors specialize in the unique needs, cultures and priorities of the parties they respectively serve. Even within the category of payer-based vendors, there is also a wide range of approaches to DRG auditing and overpayment identification. We extend our scope of services to our physician review team to produce clinical validation findings for situations where the identified issues are unsubstantiated clinical diagnoses documented by treating physicians and therefore exceeds the scope of coders. Our results prove that our coding compliance model will produce verified savings.

Quality and cost matter. With value-based care arrangements increasing, hospitals, physicians, employers and plans need accurate, illuminating analytics. Quantros’ unmatched insights allow stakeholders on the giving and receiving end of care the ability to make data-driven decisions. Quantros’ analytics software helps healthcare providers understand, predict, and improve performance. And provides purchasers of healthcare a clear picture of how reliably hospitals and physicians are delivering the best outcomes and appropriate care across the continuum.

The most widely deployed patient safety platform. Comprehensive patient safety software that helps drive lasting change and performance improvement across your organization. A global community of patient safety experts. When you join RLDatix you’re connecting with a worldwide community of patient safety changemakers. Get proven best practices and inspirational ideas from RLDatix customers, industry and thought leaders. RL Suite Comprehensive patient safety solutions to support your safety and healthcare quality initiatives. Reduce and mitigate risk by turning your data into actionable intelligence for today and tomorrow. Intervene early and keep patients safe by identifying clinical risks and reducing infections. Engage patients in real-time to ensure they receive the best possible experience. Centralize policies and procedures to drive institutional learning and compliance.

Meet the demands of changing healthcare regulations. The information you need to make critical regulatory, reimbursement, coding, and compliance decisions. The MediRegs medical coding and healthcare compliance platform helps you address multiple challenges facing the industry by providing immediate access to premier, always up-to-date, content and tools. By employing a SaaS workflow solution and innovative integration options, our premier healthcare compliance and risk management software gives you anytime, anywhere access to the regulatory information you need to make the right decisions. MediRegs delivers content relevant to your specific needs through specialized product suites. Stay ahead of changing regulation with precise, authoritative information when and where you need it. Maintain control over your bottom line in the face of regulatory change: ensure accurate, timely reimbursement through accurate, efficient coding.

AvantCare was developed with the belief that with the right application, technology can transform lives. Care providers are a vital service for hundreds of thousands of Australians. However, the sector faces uncertainty from increasing NDIS compliance, human resource demands and evolving client expectations. AvantCare has the potential to transform Care Providers processes and improve overall business outcomes, ensuring care providers can focus resources on where it matters most - their clients. It is our vision, that by empowering care providers we will contribute to the improvement of the everyday lived experience of their clients. AvantCare integrates all your key business processes within one ecosystem, each functional group within the client care relationship are now linked together. The processes concerning CEO’s, Operations Managers, Support Workers, Finance, Payroll, IT, clients and their families can now operate in harmony with each other.

Interpreta’s Clinical Action is the single platform for in-year quality and risk intervention with NCQA certification in HEDIS and California IHA AMP since 2015. Clinical Action uses HEDIS, state-specific, and HCC formulations to provide a large library of quality and risk measures available in a cloud-based platform for direct user access or through easy integration with provider group and health plan ecosystems. Clinical Action automates workflows for structured medical, lab, and pharmacy claims data and provides a robust unstructured supplemental data environment for code capture and integration with artificial intelligence and machine learning (natural language processing) solutions. Clinical Action’s customizable population capability allows for care gap analytics from a full population health view down to the single member for in-office physician preparation.

Healthcare demands can change in an instant. Care facilities need to be responsive, prepared and equipped with technology that continually evolves and adapts. The care.ai Smart Care Facility Operating Platform transforms healthcare settings with powerful AI-enabled automation that improves processes, saves valuable time, reduces costs and eases burdens on care teams so they can focus on delivering the best patient care possible. A neural network of sensors deployed throughout the care facility continuously monitors conditions, learning from behaviors. Collecting behavioral data over time, the care facility becomes smarter and more self-aware, automating many burdensome tasks. Real-time clinical and operational insights into behaviors and conditions allow for process improvements and optimized care.

We profoundly believe the future of healthcare, and the survival of healthcare systems, rests in a strong, symbiotic relationship between dedicated clinicians and the most powerful, predictive tools available so they can meet with confidence the delicate balance of quality, high standard of care, and system financial resilience. Our powerful predictive engine complements the skills and judgement of healthcare professionals. We are able to interpret and enrich raw clinical data to generate real-time, highly focused, predictive insights that clinicians and hospital administrators can leverage to dramatically augment the management of care delivery – facilitating critical decisions, scaling clinical workforces through automation, and improving the financial position of health systems. Artifact, Iodine’s mobile query application, makes it simple for physicians to respond quickly and compliantly to CDI and coding queries.

Certive’s Revenue Integrity Analytics platform is based on a unique blend of data science, clinical expertise, and administrative process knowledge. Certive Health’s experience base ensures the integrity of the hospital’s revenue and compliance of its processes. The core of Certive Health’s Revenue Solutions offering is built on its Revenue Integrity Analytics™ platform. Extended technical capabilities in analytics, workflow, and marketing automation combined with clinical and payer side experience helps our clients reduce costs, improve outcomes, and increase patient satisfaction.